How can a dentist bill you for charges that were already covered by your insurance, we have the proof?

Question

the dentist forgot to bill for one tooth and admitted to me, they rebilled, but under the wrong date, naturally the insurance co. rejected it. I carry dual insurance - along with this they made me pay $145 at time of services which my copay is only $30 - figured I would get a check back for $115. I have called the billing office 8 times, and my insurance has called 16 times, since my 2nd ins, recoordinated benefits from what the primary ins paid, 2nd ins co asked for money back because they had a gross overpayment, dentist only sent back half of that - so that ins proceeded to take the remaining amount leaving the total amount paid minus my copay - and dentist was paid in full - dentist was angry since they did not cover one of the teeth, because THEY FORGOT TO BILL IT - THEN they billed it under the wrong date of service - I DISCOVERED that they did that and in my 22nd phone conversation with 2nd ins - got it figured out - now DDS takes me to collections- but she was paid in full

Answer 1

You make a copy of your proof and send it to the Dentist office (along with the bill). This should clear up the problem.

Answer 2

I would start by talking to the billing person at your dental office. At that point you should be able to tell if it is a problem with the dental office or the insurance company.

Answer 3

Some dentists "participate" and some don't "participate" with networks.  When a dentist "participates" with a network, he has agreed to provide services to you, the patient, and accept the insurance reimbursement as payment in full . . . if you have a 100% dental plan.  Co-insurance will vary depending on your dental plan.

So the bill goes to the network the dentist participates with to be repriced and finally it makes it to the insurance company for payment.  This process can take some time, and generally speaking the dentist's billing system will see that a payment has not been received and will automatically generate a bill to the patient.  

During that time, the insurance payment to the dentist and bill that was sent to you pass in the mail, and the dentist's office doesn't call to say, "We received your payment today, please disregard the bill we sent this week."

I agree with the other answers, one simple call to the dentist's billing department should be all that is needed.  Good luck!!